Get Pathway Kids - San Mateo Health System

This guide provides clear instructions on how to navigate and complete the PATHWAY KIDS - San Mateo Health System form online. By following these steps, users can ensure that all necessary information is accurately submitted for pediatric hospice patients.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor. This will allow you to begin filling out the necessary fields.
2. Start by entering the child's name, date of birth, and weight in the appropriate fields. This information is crucial for identifying the patient accurately.
3. Provide the address of the child’s residence and emergency contact information, including their relationship to the patient. This ensures quick communication during emergencies.
4. Fill in the name and contact information of the hospice case manager. This allows prehospital personnel to reach out for necessary information regarding the patient's care.
5. Input the child's diagnosis clearly. This information is vital for understanding the child's medical condition and necessary treatments.
6. Indicate the hospital of choice for transportation if necessary. This ensures the child is taken to a familiar facility.
7. Specify if a Do Not Resuscitate (DNR) order is signed, and if so, whether it is modified. Attach any relevant documents if needed.
8. List any special instructions in order of priority, providing essential information for the child's care in emergency situations.
9. Include a section for medications, referring to the attached Pathways Medication Sheet for any specifics.
10. Document any specialized equipment or procedures required for the child's care. This will inform emergency responders of what is needed.
11. Have the parent or legal guardian sign the form, along with their contact information. This ensures consent and provides a point of contact.
12. The hospice medical director must also sign the form, confirming that they have reviewed and approved the details.
13. Once completed, review the form for accuracy before saving changes, downloading, printing, or sharing the document as required.

Start filling out the PATHWAY KIDS - San Mateo Health System online form today for efficient care management.